Author Archives: Mary Keenan

3-Legged Stool of Survival

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Another overnight on-call is coming up. Now that I am more than halfway thru my CPE internship, I am starting to wonder about myself the same things I wonder about patients:

  • what is giving your life meaning now?
  • gosh, you’re going thru a lot, what coping strategies do you have?
  • do you ever consider a good metaphor for what you are going thru?

Okay, I don’t really ever wonder that last one about patients. But for myself…I’ve been wondering what my three-legged stool is for surviving this summer. You know, the three-legged (because that is how many it takes to hold something up) stool used to talk about investing, leadership, or even Anglican theology? A timeless metaphor.

What are the three essential things keeping Mary from falling over?

Those might sound a little snarky to you. How about something more serious:

But really, what it boils down to is this:

 

Mountains in my mind

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At about this point every summer of my life, I start dreaming of getting away from the hot Texas sun and my hectic job for a place that is cooler and calmer. And for almost every summer of my life, that place has been the North Carolina mountains. As a child, moving from city to city following my father’s medical education and career, the family ties in the Blue Ridge helped me feel connected to people and a place. When I am there, I sense the spiritual power of community, rest, and the renewable baptism of jumping in an ice cold lake.

Hike around Kanuga Lake

My mother came to visit me in Texas earlier this summer, and during her stay she asked some of us where we’d want to travel if we could go anywhere in the world. I searched my mind, but North Carolina was the only place I wanted to be. It is so full of good memories and has played such a huge role in making me who I am. It is family, tradition, creativity, love, connection, and blessing. It is one place that will always be home to me.

This summer, I am not able to make that annual pilgrimage. I’ll be working until the last week before school starts and won’t get the chance to dash off for a peek of those beautiful peaks or a walk through a tunnel of trees or a late night on a back porch full of friends.

For now, those mountains will have to be in my dreams. And they are.

Warm Words

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One of the blessings of being immersed in a completely new role (hospital chaplaincy) and unfamiliar situations (other people’s grief and loss) is that it allows me to see my own life in a new way. The frame of reference I used to have raising funds to address systemic issues is now replaced with work on a more personal level. When you stand with people in their times of crisis, you can see connections between their pain and your fears, between their comfort in memories and your unfolding story, between their response to extraordinary heartache and your everyday life.

My colleague Mike recently used a moving image to describe a moment when family members were gathered around a dying loved one. They said their goodbyes by “covering him in a warm blanket of words.” I imagined their words holding precious memories of the past, and also being part of the narrative of their family going forward, keeping the lost one wrapped together with them. Words allowed them to express themselves individually and also to articulate the bond that held them together.

This image has stuck with me for days. It speaks to more than just one family’s pain or even of grief. Words connect us to one another, they carry memories and bear emotion. While touches and looks have immediacy, words can connect people through time and across distances. They can bind entire cultures…or individual families. And so, the image of this family’s warm blanket of words connects their particular experience to any of us when we use words or allow them to land on our shoulders.

As a writer, the idea of words being a warm blanket is inspiring and a little scary. I want my words to comfort…or carry the emotion I intend. But once words leave your mouth or pen or keyboard, you can’t really control how others take them in. I hope when I tuck my daughter in at night my words are a warm blanket for her. On the other hand, I am pretty sure that no matter how warm my words seem to me, they probably grate on the ears of my teenage son. I know the stories I tell my children about their deceased grandparents keep those forebears enfolded in our family. If that is how my words can touch people I know – how might my words (or yours) be felt by others? People you don’t ever see or know? Words can have a life of their own.

Even on a summer night, it is nice to imagine thoughts, memories, and emotions enveloping you. Wrapping you in relationship. Holding you in community. Like a warm blanket.

Lil Sis

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Happy birthday to my little sister – who is definitely more relaxed than I am about most things. Probably wiser. But not taller. I don’t care what you say.

A different sort of holiday

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I’ve observed the 4th of July in a lot of places – different states, even different countries – but I’ve never spent the holiday at the hospital. It is quiet here; a skeleton staff is holding things together while most of their colleagues are off for the day (and night). Even the coffee shop is closed.

I’ve got my keys (access to 4 hospitals) and my badge (so I can swipe my way into the Emergency Rooms). The hallways are unusually quiet, but in each room there is a pulse. It might be the pulse of a heartbeat, or a pulse of hope…perhaps both. But it is there.

Most years, I celebrate Independence Day with fireworks – a boisterous community observance. But today it seems more appropriate to send out a hug to those who are waiting and watching and wanting something more personal to celebrate.

Full Moon

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Tonight, Sister Moon is casting off her shadows
revealing her whole face, scars and all.
Always, her pull causes sea changes,
yet when she shines so bright we feel the tug more,
perhaps because she is lighting up our landscape
so we can see the tides rise and fall.

Joy v Happiness

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I’ve heard about the difference between joy and happiness, but this summer, I am learning it personally.

Happiness comes from outside yourself – good fortune, wealth, life running smoothly. But this summer I am with people who are in the midst of crises and lives that have hit rough spots. None of them are happy about it, but some of them do have joy. It can be almost tangible, the sense they exude of peace and contentment, even when they are suffering.

Joy comes from within, it is part of a person’s essence. Both theologians and psychologists describe this capacity that people have (or don’t) to rise above tough times, to be resilient, to find meaning in their circumstances.

I cannot give anyone joy – although perhaps I can give them happiness from time to time – but I hope I can help them honor, discover, or recover the joy within them. I know that they do it for me. Sometimes watching joy sustain a person in pain touches a place of joy in me and reminds me to nurture this inner resource.

Resurrections

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The other day, I posted a photo on Facebook of a sage bush that is blooming in my front yard. These shrubs are usually pale green, but when it rains a lot (as it has in Texas this Spring and Summer) they blossom with purple flowers. A friend saw the photo and commented that sages are a true resurrection plant. It made me see them in a new way.

In truth, the sages here don’t ever seem to die. They are hearty and drought-resistant. But when it rains, they take on a whole new look and liveliness. Those purple flowers seem to have been waiting for the right circumstances to bring them out. As Summer progresses, the flowers will drop, but the sage will flower again. That is what they do.

In my faith tradition, resurrection is a central belief, yet even those who don’t believe the dead literally come back to life find hope in the theme of resurrection. It isn’t the passing of one soul through many lives – that is reincarnation – but the renewal of one single life or even of a community. In a way, resurrection can be seen as a person or community becoming most fully themselves. That’s why the symbols of resurrection are things like butterflies and eggs and sage bushes – living beings that undergo a transformation but retain the same essence; they stay what they have always been, only better. For some of us, the theme of resurrection is what gives us hope when we face all kinds of small “deaths,” like church attendance going down or changes in leadership. Or bigger “deaths” like racism or the daily indignities of poverty.

Resurrection is hope, transformation, and renewal.

As I work with patients and families at the hospital this summer, the image of my “resurrection” sage is a helpful one. People, too, blossom when the circumstances allow. Many times, those circumstances might be a death or a difficult transition. Sometimes, as I sit with people experiencing grief and pain, they begin to flower with stories, memories, plans, and gratitude. I’ve experienced it at similar times in my own family. In the midst of grief, we’ve recalled old family jokes, planned favorite meals, reached out to disconnected loved ones. And so it is with the families I companion this summer. Thanks to my friend’s comment, I’ll be looking for these resurrection moments every chance I get.

Learning to be and be with

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Sometimes you hope for a quiet Sunday and…nope. I suppose that is to be expected. At the hospital, things are changing for people all the time. When I arrived this morning, there were messages of impending demise and patient angst. The operative words have been comfort care and “we just want what’s best for her/him.” Even when those are the sentiments, it can be hard to know exactly what is comforting and what is best.

This summer, I am learning to sit with people through the anxiety, the unknowing, and the pain. Compassion literally means to suffer with – and that is what I am doing much of the time, sitting with patients and their families as they consider hard choices and try to make meaning from what is happening to them and around them. (It is, in fact what the families are doing together for each other – being compassionate.) What we learn in chaplaincy is that we can’t make people’s problems go away, but we can be with them. And sometimes presence is not only enough, it is best.

It is hard when things don’t go as planned. When a father takes a turn for the worse, when a sibling takes her own health for granted, when a neighbor has a terrible accident. You can see it in the eyes sometimes, this feeling that life is changing course but no one has been given the new map yet.

For me, it is a job. I get to go home at the end of the day. (Or in this case, tomorrow morning). But these patients and families are teaching me patience. They are teaching me how to wait and and be present. (Didn’t I recently say I was impatient with my patients? Shame on me!) It is inspiring to see people stop their busy-ness and just BE with each other – a light in the darkness, as it were. They are anxious, they crave information, they want to know what to do. But what they do is wait with their loved one. Being there for one another in the waiting is the one thing no one else can give them.

 

Tiny Hands

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Every day, I watch the strong, gentle hands of nurses adjusting wires, checking vitals. They help the nervous hands of parents hold and feed tiny new ones, becoming more confident as the days pass.

But always, it is the tiniest hands that amaze me. Wiggling in the air, tucked under cheeks, moving in what would have been an in-utero flutter. Their bodies are not developed enough to leave the hospital, but their hands can already get them into trouble as they pull at feeding tubes or try to “help” change a diaper.

Premature babies look fragile and sometimes their hands are covered with IV tubes. I once asked my father, a pediatrician, if it was depressing to work with these smallest of patients who are connected to wires and tubes to help them reach developmental benchmarks that will allow them to thrive. He told me what every nurse and doctor has repeated to me since: No! Babies are stronger than you think, even (maybe especially) premature babies. They don’t know how to do anything but grow and live, so that is what they try to do. Watching their hands, you know it is true. These hands are forever reaching out to grasp childhood.